A nurse is teaching a client who has a new prescription for diazepam. Which of the following information should the nurse include in the teaching?
Grapefruit juice inactivates this medication.
It is important to avoid foods that contain tyramine.
This medication must be swallowed whole.
Diazepam can cause drowsiness.
The Correct Answer is D
A. Grapefruit juice inactivates this medication - Grapefruit juice is known to interact with certain medications, but it does not affect the metabolism of diazepam. Therefore, this statement is incorrect.
B. It is important to avoid foods that contain tyramine - Tyramine is typically associated with interactions with monoamine oxidase inhibitors (MAOIs), not benzodiazepines like diazepam. Therefore, this statement is incorrect.
C. This medication must be swallowed whole - While it is generally recommended to swallow diazepam tablets whole with a full glass of water, this instruction does not encompass the full range of information necessary for safe medication use.
D. Diazepam can cause drowsiness - This statement is correct. Diazepam, like other benzodiazepines, has sedative effects and can cause drowsiness. Patients should be advised to avoid activities that require mental alertness, such as driving, until they know how the medication affects them. This is an essential aspect of patient education regarding diazepam.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["8"]
Explanation
To calculate the flow rate in drops per minute (gtt/min), we first need to find the total number of drops (gtt) that will be infused over 3 hours and then divide by the total infusion time in minutes.
Given: Volume to infuse = 150 mL
Infusion time = 3 hours
Drop factor = 10 gtt/mL
First, let's find the total number of drops for the entire infusion:
Total drops = Volume × Drop factor
Total drops = 150 mL × 10 gtt/mL = 1500 drops
Now, let's find the infusion time in minutes: Infusion time (in minutes) = 3 hours × 60 minutes/hour = 180 minutes
Finally, let's calculate the flow rate:
Flow rate (gtt/min) = Total drops / Infusion time
Flow rate = 1500 drops / 180 minutes ≈ 8.33 gtt/min
Rounded to the nearest whole number, the nurse should set the manual IV infusion to deliver approximately 8 gtt/min.
Correct Answer is D
Explanation
A. A pretreatment electroencephalogram (EEG) is not typically required before starting valproate therapy. EEGs may be used in the diagnosis and management of seizure disorders, but they are not a standard part of valproate therapy initiation.
B. High serum sodium levels are not associated with toxic levels of valproate. Instead, valproate can cause hyperammonemia, especially in individuals with urea cycle disorders.
C. Thyroid function tests are not typically required specifically for valproate therapy. However, valproate may interfere with thyroid hormone levels, so thyroid function tests might be ordered if there are symptoms of thyroid dysfunction.
D. Monitoring liver function tests is essential when taking valproate because the medication can cause hepatotoxicity. Clients should have baseline liver function tests before starting valproate, followed by regular monitoring throughout treatment. If liver function test results indicate liver damage, the healthcare provider may adjust the dosage or discontinue the medication. Therefore, this is the correct instruction to provide to the client starting valproate therapy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.